长期COVID对患者,工作人员和社会的影响:一篇综述
Kevin T Kavanagh1, Lindsay E Cormier2, Christine Pontus3
1Health Watch, Lexington, KY.
Medicine
|March 22, 2024
概括
长期COVID影响了SARS-CoV-2感染后大约11%的成年人,造成了严重的日常活动问题. 接种疫苗和仔细的康复是管理这种复杂的后病毒综合征的关键.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
背景情况:
- 长期COVID影响大约11%的成年SARS-CoV-2幸存者,其中26%的人经历了日常活动限制.
- 大多数长期的COVID病例都是在轻度或无症状的急性感染之后发生的,影响成人和儿童,可能会产生神经,内分泌和免疫后果.
- 神经问题,包括脑雾和记忆丧失,与大脑损伤有关,特别是在前额叶皮层.
研究的目的:
- 总结长期COVID的发病率,影响和管理策略.
- 突出儿童和成人的神经和免疫后果.
- 强调疫苗接种和康复在缓解长期COVID中的作用.
主要方法:
- 文献综述和现有关于长期COVID的研究的综合.
- 分析报告的症状,社会影响和促成因素.
- 评估预防和治疗干预措施,包括疫苗接种和物理治疗.
主要成果:
- 长期COVID呈现出各种症状,包括认知功能障碍和疲劳,严重影响日常活动和就业.
- 儿童可以发展神经系统,内分泌系统 (例如,I型糖尿病) 和免疫系统的后果.
- 接种疫苗在预防和缓解长期COVID方面表现出有效性,而康复需要谨慎的"低速缓慢"方法,以避免体力炼后的不适.
结论:
- 长期的COVID带来了深刻的社会挑战,由错误信息和复杂的陈述加剧.
- 物理和职业治疗对于恢复功能至关重要,但需要谨慎的节奏.
- 进一步的研究对于开发有效的治疗方法和明确的公共卫生沟通策略至关重要.
相关概念视频
Classification of Illness
7.5K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.5K
Stress and Mental Health
155
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
155
Psychoneuroimmunology: Cardiovascular Disease
30
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
30
Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.7K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.7K
Longitudinal Studies
158
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
158
Insufficient Sleep and Sleep Deprivation
141
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
141


